Poor science ｜ Beware of male breast development, these knowledge must be mastered

Summer is here, everyone wears cool short sleeves and vests, but some men are embarrassing because of their "chest". Wu Jian and Yao Xinmin, a hospital mammaliers.

Wu Jian said that male breast development (GYN), also known as male breast hyperplasia or men's and female breasts, refers to abnormal hyperplasia and development of male breast tissue. Usually manifested as a breast painlessness, large bulging or dystrophy of the breast, or breast tenderness masses in the area under the areola. Generally, due to the disorders of the role ofrogen and estrogen, decreased testosterone secretion or insufficient effect, and (or) estrogen, and (or) estrogen Excessive occurrence and high sensitivity to estrogen tissue.

Why do male breast development?

Men's breast development is mainly imbalanced by local orrogen androgen levels in the body or breasts, causing hyperplasia of breast tissue. The causes of hormone level imbalance are physiological and pathological.

Physiological:

Newborn period: Affected by the female placental estrogen and breast milk feeding, more than 50%of the newborn increased breasts when birth, usually fading within 2 to 3 weeks. Individual cases last time a little bit. Longer.

Adolescence: adolescence is in the most vigorous time of life. Various hormones such as adherent hormones, growth hormones, sex hormones, etc., stimulate the development of the gland. Therefore, for the hyperplasia of a hyperplasia, the incidence rate is about 39%. The age is as many as 13 to 14 years old. The degree of breast development on both sides is more asymmetric, and the sides of the development of development may be inconsistent. It can be accompanied by mild pain and discomfort, without redness and swelling. It lasts for several months to 1 to 2 years. On the side or bilateral breast tissue permanently residual, the breast tissue that cannot be completely faded. The very few or bilateral breast development is significant, and it has gradually grown up, similar to girls' breasts and can continue to the adult stage.

Senior period: High incidence. Men with this age, such as testicular degeneration, testosterone production is also decreasing, luteal production is elevated, leading to imbalances in the level of female androgen in the body and causing breast development.

Pathological:

Some diseases such as drugs, hyperthyroidism, liver disease, obesity, testicular tumors, adrenal tumors, sexual dysfunction, sexual dysfunction, and pituitary lesions can cause females androgen imbalances in the patients, stimulate breast glands and adipose tissues, and lead Male breast development is abnormal.

What feelings can indicate early breast development?

There is no pain in the breast gland in the early stage of the disease. According to whether the breast appearance becomes larger, whether there is a lump in the hand to touch, it can be briefly judged. A few people will be accompanied by increasing phenomena of nipples and areolas, painful and mild tenderness, and very few patients will have the phenomenon of nipple secretion of liquid.

How do you know that you have male breast development?

The most typical symptoms of this disease are the drag of breast hypertrophy on both sides or sides, similar to women's developmental period, which can touch the flexible breast tissue under the areola. The bottom is free. sex.

What complications can be caused?

Men's breast development may increase psychological problems such as anxiety, inferiority, social obstacles and the risk of breast cancer.

Anxiety and inferiority: When adolescent men grow up, breast development will make adolescent adolescents who are more concerned about their own image because they have female breasts like women, they will often have anxiety because their classmates have strange eyes, laughter, teasing, and difficult to sleep. Symptoms, at the same time, there will be inferiority, autism, and even social obstacles, especially in summer, unwilling to go out and unwilling to stand up their chests.

Breast cancer: The increase in unilateral breast abnormalities is related to the abnormality of the body. Elderly people over 60 years of age need to be alert to lumps behind the nipple areola, and the possibility of breast cancer needs to be considered.

How to treat it?

Pathological breast development has two methods: drug treatment and surgical treatment.

Drug therapy is usually treated with the cause, such as anti -estrogen drugs: triaxyxoxine, Rylosen, aromatase inhibitors and other treatment of adolescent male milk development. If the adrenal body is thickened (more than one year), the significant hypertrophy is bulging, indicating that the gland has significant hyperplasia accompanied by fat thickening, and the treatment of drug treatment is not good.

Yao Xinmin told reporters whether surgical treatment also depends on the degree of breast bulge and the psychological and life troubles of patients. In fact, it belongs to plastic surgery for the shape of the chest, because most male breast development is large, not life -threatening, does not affect health, and it is also possible to do not surgery. When the patient feels dissatisfied with the shape of the chest and affects daily social life, you can consider asking professional doctors for help, consider surgery to remove undercibly plastic surgery under the skin, and restore the chest shape of normal men. The surgical methods include: open surgery, liposuction, liposuction, and axillary hidden laparoscopy subclacium gland sinking surgery.

Traditional surgery will leave a relatively obvious incision scar on the front chest, which affects the aesthetics and cannot meet the requirements of patients' pursuit of breast aesthetics. Liposlawing can usually only suck the skin under the skin, and the tough glandular tissue cannot be removed, and it cannot restore the flat chest. After the hidden incision of the armpits, the underclavidous glands are removed under the laparoscopic, and obvious surgical scars are not seen after the breasts. The flat -free chest can meet the patient's pursuit of beauty. It is the choice of most male breasts.

Male breast development surgery is both a "tumor reduction" surgery and a "beauty" surgery. Only through fine surgical operations can the optimal surgical effect be achieved.While solving the patient's physical disease, it also solves the psychological burden of the patient.references:

[1] Rohrich rj, ha ry, kel jm, et al.classification and management of gynecomastia: Defining the role of ultrasound-assisted liposuction [. Plast Reconstr Surg, 113,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13,13.

[2] Wu Zhaohan, Qin Xinyu, Ding Qiang. Practical Surgery [M]. 4th edition. Beijing: People's Health Press, 2017.

[3] Li Yilei. Pathology [M]. 9th edition. Beijing: People's Health Press, 2018.

[4] Han Jingjian, Yan Wenhua. The etiology and pathogenesis of male breast development progress [J]. China Beauty Plastic Surgery Magazine, 2020,031 (002): 89-91.

[5] Bao Xu, Sun Qiang, Guo Chunli, Mengxiang Chao. On the progress of clinical research on male breast development [J]. Medical theory and practice. 2015.3339-3341.

[6] Zeng Lanmei, Tu Qinghua. Psychological care intervention of adult male breast development patients [J]. Journal of Guangzhou Medical University, 2015 (02): 123-124.

- END -